The pathology of liver-localized post-transplant lymphoproliferative disease : A report of three cases and a review of the literature

Post-transplantation lymphoproliferative disease (PTLD) is a complication of solid organ transplantation that is typically of B-cell origin and associated with Epstein-Barr virus (EBV). In patients receiving orthotopic liver transplantation (OLT) and treated with cyclosporin A. PTLD typically presen...

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Veröffentlicht in:The American journal of surgical pathology 2000-05, Vol.24 (5), p.733-741
Hauptverfasser: NUCKOLS, J. D, BARON, P. W, STENZEL, T. T, OLATIDOYE, B. A, TUTTLE-NEWHALL, J. E, CLAVIEN, P.-A, HOWELL, D. N
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container_end_page 741
container_issue 5
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container_title The American journal of surgical pathology
container_volume 24
creator NUCKOLS, J. D
BARON, P. W
STENZEL, T. T
OLATIDOYE, B. A
TUTTLE-NEWHALL, J. E
CLAVIEN, P.-A
HOWELL, D. N
description Post-transplantation lymphoproliferative disease (PTLD) is a complication of solid organ transplantation that is typically of B-cell origin and associated with Epstein-Barr virus (EBV). In patients receiving orthotopic liver transplantation (OLT) and treated with cyclosporin A. PTLD typically presents between 6 and 17 months post-transplantation as a systemic illness with involvement of the hepatic graft in a minority of cases. A small number of cases of biopsy-proven PTLD arising in the hepatic graft and limited to the liver and periportal structures have been previously reported. This report describes three additional cases of liver-localized PTLD and reviews similar cases in the literature. The donor/host origin of PTLD may have prognostic significance because the two cases in this report that are of donor origin had different clinical and pathologic features compared with the case of host origin. A rapid PCR-based technique for determining the origin of PTLD is described.
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subjects Adult
Biological and medical sciences
DNA, Neoplasm - genetics
Female
Genotype
Hematologic and hematopoietic diseases
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Liver Diseases - etiology
Liver Diseases - pathology
Liver Transplantation
Lymphoproliferative Disorders - etiology
Lymphoproliferative Disorders - genetics
Lymphoproliferative Disorders - pathology
Male
Medical sciences
Middle Aged
Postoperative Complications - pathology
title The pathology of liver-localized post-transplant lymphoproliferative disease : A report of three cases and a review of the literature
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